CLINICIANS MEDICAL GROUP LLC
NPI 1770843328
Internal Medicine in Pahrump, NV

Q: What is Clinicians Medical Group LLC's NPI number?

The NPI number for Clinicians Medical Group LLC is 1770843328. It was assigned to this organization in the NPPES registry on May 16, 2012.

Q: What is Clinicians Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 16, 2012

360 S LOLA LN, PAHRUMP, NV 89048(702) 292-1224 Get Directions Write a Review

NPPES record last updated: May 16, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Clinicians Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINICIANS MEDICAL GROUP LLC (NPI 1770843328) is a healthcare organization registered as an internal medicine in Pahrump, Nevada and active in the NPI registry since May 2012. The organization lists Mark A Lopez, Member, as its authorized official.

NPPES Registry Identity

NPI1770843328

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCLINICIANS MEDICAL GROUP LLC

Location Address360 S LOLA LNPahrump, NV 89048-0884

Mailing Address3022 S Durango Dr, Suite 100Las Vegas, NV 89117-4439

Phone(702) 292-1224

Organization SubpartNo

Authorized OfficialMark A LopezMember · (702) 292-1224

Enumeration DateMay 16, 2012

✔ NPI 1770843328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NV · D0167

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

360 S LOLA LN, Pahrump, NV 89048

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinicians Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNevadaEnrollment IDO20120531000112Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 10 clinicians reassign Medicare billing to Clinicians Medical Group LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

Internal Medicine5

Nurse Practitioner4

Family Practice1

Clinicians, nearest first (10)

Heyaw Amene

Nurse Practitioner

NPI 1447997325

9333 W SUNSET RD STE A
Las Vegas, NV 89148

(725) 745-5864

✔ PECOS✔ Accepts Medicare42 mi

Murray Rosenberg, M.D.

Family Practice

NPI 1174566863

7391 W CHARLESTON BLVD SUITE 140
Las Vegas, NV 89117

(702) 304-2144

✔ PECOS✔ Accepts Medicare43 mi

Mfon Iseh, MD

Internal Medicine

NPI 1407218258

3150 N TENAYA WAY
Las Vegas, NV 89128

(702) 562-5831

✔ PECOS43 mi

Vy Mai, MD

Internal Medicine

NPI 1356801047

2720 N TENAYA WAY
Las Vegas, NV 89128

(702) 877-5199

✔ PECOS✔ Accepts Medicare44 mi

Annabelle Socaoco, APRN

Nurse Practitioner

NPI 1528439460

1701 S TORREY PINES DR
Las Vegas, NV 89146

(702) 871-0005

✔ PECOS✔ Accepts Medicare44 mi

Simon Abraham

Nurse Practitioner

NPI 1528685005

5670 W FLAMINGO RD STE A
Las Vegas, NV 89103

(702) 355-2929

✔ PECOS✔ Accepts Medicare46 mi

Mark Lopez, DO

Internal Medicine

NPI 1619147220

4700 LAS VEGAS BLVD N
Las Vegas, NV 89191

(702) 653-3251

✔ PECOS✔ Accepts Medicare46 mi

Christopher Igtiben, MD

Internal Medicine

NPI 1194085308

1800 W CHARLESTON BLVD
Las Vegas, NV 89102

(702) 207-8263

✔ PECOS✔ Accepts Medicare50 mi

Maria Pajara, NP-C

Nurse Practitioner

NPI 1205275500

3737 PECOS MCLEOD STE 101
Las Vegas, NV 89121

(702) 369-5436

✔ PECOS✔ Accepts Medicare52 mi

Rajesh Sonani, M.D.

Internal Medicine

NPI 1366899585

10624 S EASTERN AVE # A-955
Henderson, NV 89052

(702) 800-5393

✔ PECOS54 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinicians Medical Group LLC's NPI number?

The NPI number for Clinicians Medical Group LLC is 1770843328. It was assigned to this organization in the NPPES registry on May 16, 2012.

Where is Clinicians Medical Group LLC located?

Clinicians Medical Group LLC is located at 360 S Lola Ln, Pahrump, NV 89048. The listed phone number is (702) 292-1224.

What is Clinicians Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Clinicians Medical Group LLC enrolled in Medicare?

Yes. Clinicians Medical Group LLC is registered in the Medicare PECOS enrollment system.

When is Clinicians Medical Group LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Nevada, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Clinicians Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Clinicians Medical Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (5), Nurse Practitioner (4) and Family Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clinicians Medical Group LLC was last updated on May 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.